HomeMy WebLinkAbout18-20496 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20496
BUILDING PERMIT
PERMIT INFORMATION . LOCATION INFORMATION
Permit Number: 20496 Address: 38832 HENRY DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: PARK HILL
Est. Value: Parcel Number: 02-26-21-0180-00000-0310
Improv. Cost: 4,400.00 OWNER INFORMATION
Date Issued: 1/18/2019 Name: GARREN, JEFFREY
Total Fees: 97.50 Address: 38832 HENRY DR
Amount Paid: 97.50 ZEPHYRHILLS FL 33542-2656
Date Paid: 1/18/2019 Phone: (813)690-5333
Work Desc: INSTALLATION 8 WINDOWS S/S
CONTRACTORS APPLICATION FEES
DONE RITE WINDOWS & DOORS BUILDING FEE 97.50
V
Ins ections Required
FOOTER 2 D ROUGH PLUMB MIS MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL misc.-
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACT R SIG PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0.020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received /0!*Z t Phone Contact for Permitting afl':3 4u _ 16 i &
Owner's Name �t (9 Al. Owner Phone Number
Owner's Address $ C'�1 7� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �Z 2 LOT,#
SUBDIVISION PARCEL ID# S ° °Z I �x�D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT I. SIGN Q., 0 DEMOLISH
R INSTALL 8 REPAIR
PROPOSED USE Q SFR 0 COMM OTHER
TYPE OF CONSTRUCTION E�a BLOCK Q FRAME STEEL Q ,
DESCRIPTION OF WORKS AeW
BUILDING#SIZE SQ FOOTAGE HEIGHT4.
OBUILDING $ f'L�D � . VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING
M ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
o l A)dC' Jf�
=GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHEDjFLOOR ELEVATIONS FLOOD ZONE AREA =YES- A 3 4q �
Z.�1
BUILDER COMPANY
SIGNATURE REGISTERED Y/ NI FEE CURREN Y./N
Address Me?I �i�AA! 7Jev. �� License# C 7'I'? 5?
,
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N - FEE CURREN Y/N
Address License#,I
PLUMBER ` COMPANY
SIGNATURE J. REGISTERED Y/ NJ FEE CURREN Y/N.:
Address; . License#'
MECHANICAL:..'. COMPANY
SIGNATURE. REGISTERED Y/ N FEE CUOMK
Addr`.ess License*F
OTHER r COMPANY•
SIGNATURE - REGISTERED Y/ N FEE CU(RREEN Y./,N•
Address License# I .
:, -
RESIDENTIAL' Attach.(2)PIoYPlans;(2)sets of Building`Plans;'(1).set ofEnergy.Forms;-R`-0-W Permit for new`cwnstruction,
Minimum ten`(.10):workirig days after submittal'date.'Required onsite;Construction Plans,Stormwater Plans.w/Silt Fence installed,
Sanitary,Facillties&1 dumpster,Site Work Permit for subdivislolis/Iii a projects
COMMERCIAL :Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction.
Minimum ten(10)working days aftersubmittal date. Required onsite,Construction.Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities'&"1`dumpster.Site Work-Permit for all new projects.All commercial requirements must meet compliance
'_SIGN PERMIT Attach-(?)sets of Engineered Plans
- ****PROPERTY SURVEYre'giilredlbeail NEW construction.
Directions:
Fill out application completely.
OWner-,4-'Contractor sign:back of application,notarized
If over$2500,a Notice of Commencement is required: (A/C upgrades over$7500)
** Agent(for-the contractor):or Power of Attorney(for the,owner)woutdbe someone with notarized letter from owner authorizing same
OVER-THE COUNTER PERMITTING (copy of contract required)
Reroofa f shingles Sewers Service_Upgrades:,A1C- - Fences(Plot(Survey/Footage)
Driveways-Not over Counter if.on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS:-:The-.undersigned understands that this permit may be,subject to"deed"restrictions"
which.may be more-restrictive than.Count _r.,egulations. The-.undersigned,assumes responsibility for Compliance with:any-. . .
applicable deed,restrictlons:.
UNLICENSED CONTRACTORS-,AND:.CONTRACTOR RESPONSIBILITIES: If the owner.has hired a contractor or
contractors to undertake Work':they may be required-to be licensed•in accordance with.state and:ppCif-regulations:'if the ---
contractor is not licensed as required :by law;.,both.the owner and contractor may be cited for a misdemeanor violation
under state laW. If,the owner or intended contractor are uncertain-as.to what--..licensing requirements-may apply for-the"-
intended.work, they are advised to contact"thewPasco..County:Building Inspection Division--Licensing Section at 727-847-
8009. Furthermore,.-If:the owner,,has hired a contractor or contractors,,he-is advised°:to-have the"`contractor(s) sign '4
portions of the "contractor Block" of this application for which they will be responsible. if you,:as the owner sign-as the
contractor, that.may be an indication that he,is not properly licensed.and is not entitled to,permitting,privileges:in Pasco. ,..
County:
TRANSPORTATION'IMPACT/UTILITIES-IMPACT'AND RESOURCE RECOVERY FEES: The undersigned understands. : ..
that Transportation Impact Fees.and Recourse Recovery Fees may apply to the construction of newbdildings, change,.of
use in existing buildings, or.expansion of.,exist'ing. buildings,-as-specified in Pasco County Ordinance number 89�07;,and
90-07, as amended. The.undersigned also-understands, that such fees, as niay be due, will be'identified at the time of 2
permitting. It-is'further understood that.Transportation impact Fees.and Resource..,Recovery Fees must be paid,prioe to
receiving.a "certificate of occupancy" or final power release. If the project does not.involve a certificate of occupancy or
final power release; the fees must be,paid;prior to.permit issuance. Furthermore, if Pasco County Water/Sewer impact
fees,are due,they must be paid prior to;permit Issuance in'accordance,with applicable Pasco County ordinances.
CONSTRUCTION-LIEN LAW(Chapter 713,_Flotida.Statutes,as amended);. If valuation of work is$2;5t10:00 or rfioce, 1
certify that I, the applicant, have been provided with a copy of the."Florida Construction Lien Law—Homeowner's
Protection Guide—prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicaht1s someone
other than the"owner", I certify that i have obtained a copy of the above described document and promise in good fa}th to
deliver it to.the"owner."prior to commencement:"
CONTRACTOR'SIOWNER'S AFFIDAVIT: 1 certify that all the information in this application-is accurate and-that-all work
will be done in compliance with all applicable laws regulating construction, zoning and-land!development. Application is
hereby, made to obtain a permit to do work and Installation as indicated. I certify that no work.or installation,has
commenced prior to`issuance ofa permit'and that all work will be performed'to"meet standards of all laws regulating
construction,.County and City codes, zoning regulations, and land development regulations in the jurisdiction. I l"also
certify that 1 understand that the regulations of other government agencies may apply to the intended work,and-that;it is
my responsibility to identify what actions I must take;to be in compliance. Such agencies include but are not limited to:
Department of Environmental,Protection-Cypress Bayheads, Wetlarid.Areas and Environmentally Sensitive
Lands,WaterMastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrfient,
Septic—Tanks:,,,
- US Environmental Protection Agency-Asbestos abatement. I
Federal-Aviation.Authority-Runways.
understand that the foilowing restrictions appiyto the use of fill:
Use of fill is i tallowed in Ftood'Zone"V"unless expressly permitted.
- If the fill material. is to 'be 'used in Flood Zone "A", it is understood that ,a drainage plan addressing a
"compensating volum
"will be submitted at time of permitting which is prepared by a professional engineer
licensed,by the State of Florida.
If the fili material'is to be used'in Flood`Zane°A" in connection with a permitted building using stem:wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If.fill material,is to be'used in any area, I certify that use of such fill will not adversely affect adjacent
properties.: If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating. `
the conditions of-the,building permit issued under the attached permit application, for lots less than one (1)-
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,.I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be.required for electrical work,
plumbing, signs, wells, pools, air.conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be-construed to.be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter i
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is-commenced. An extension
n'may be requested,_ ,Writing, from the Building Official for a.period not to exceed ninety (90idays and will demonstrate r
justifiable cause for-the extension. If work ceases for ninety,(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR:FAILURE TO RECORD A-NOTICE:.OF.COMMENCEMENT MAY RESULT iN YOUR
PAYING TWICE FOR,'IMPROVEMENTS TO YOUR PROPERTY, IF-YOU INTEND:TO:.OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN-ATTORNEY BEFORE RECORDING YOUR NOTICE:OF COMMENCEMENT.
FLORIEYKJURAT(F:S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed andbswom to(or affirmed)before me this Subscribed an b to.(or of !ped} fore r�e� s
Y
Who Is/are personalty known to me or has/have produced Wh lare er�pn lly knoQwn 4o me or has/have produced
as identification. L1 CC'nrf as Identification:
L
Notary Public Notary Public
61
Commission No. Ca mi Ion
Name of Notary typed,printed or stamped Name of NoImf
S cya. QUELIN BOGES: Commission#FF 150422
. �` Expires December 12,2018
i��i�tt�`` Banded Thra Troy Fain Insurance Bomes.7019
Plan Review
Windows &-Doors,
1). :Need manufacturing installation specifications: .
2). Must meet sections R308 and R612 of the 2017 F.B.C:
3); .If windows are to be installed inside:the historical district,they:will need to be approved
by the historical committee..
4 No other work shall be ermitted franiin Iumbin and.mechanical) unless otherwise
. . p g, p g,. .
specified..
5 This is.for re lacernent_ lass for lass. .onl If ou.wish to chap a from screen.or vinyl
).. . p �g g ) Y Y g
windows to,glass: then additional information is required-
6) All windows to wall connections shall be left.visible for. inspection.
7) All labeling and stickers shall remain bri.wirndows.until.fina.l inspection:
8.). .No work shall start without permit first:.
DONE RITE WINDOWS DOORS & MORE LLC
12806 Lovers LN
Phone:813-661-9543
f f; Riverview, FL
I �A wF-57 Do here by authorize the following 2 (two)
people to Sign/Pick up permits under my License # CRC-057698 For the City of Zephyrhills.
Patrick Shane Mcinally
Jeremy Chad Mcinally
G
7 ;9 v ` 9
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This certificate is attached to a page document dealing with/entitled Nle a t.S and dated "( 7-1,q
(#Of Pages)
r
Oath or Affirmation Certificate
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Sworn to (or affirmed) and subscribed before me this . 7 day of �.,u , 20 (f ,
By Te-S N 6 (name of person making statement).
r a BRAD HIRTZEL
` Notary Public.State of Florida
own Commissioner GG 273257
My comm.expires Oct.31.20V
(NOTARY SEAL) Notary Public—(
y �
Personally Known OR Produced Identification �1
Type of Identification Produced L bi ✓e,
2018 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT FILED
DOCUMENT#L15000181543 Mar 12, 2018
' ��it Secretary of State
Entity Name: DONE RITE WINDOWS, DOORS&MORE LLC CC1221896120
Current Principal Place of Business:
12806 LOVERS LANE
RIVERVIEW, FL 33579
Current Mailing Address:
12806 LOVERS LANE
RIVERVIEW, FL 33579 US
i
FEI Number: 47-5561913 Certificate of Status Desired: No
Name and Address of Current Registered Agent:
MCINALLY,JEREMY C
12806 LOVERS'LANE
RIVERVIEW,FL 33579 US
The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida.
SIGNATURE:
Electronic Signature of Registered Agent Date
Authorized Person(s) Detail :
Title AMBR Title MGR
Name MCINALLY,PATRICK S Name MCINALLY,JEREMY C
Address 501 PINE LANE Address 12806 LOVERS LANE
City-State-Zip: BRANDON FL 33511 City-State-Zip: RIVERVIEW FL 33579
Title AMBR
Name MCINALLY,JAMES P
Address 501 PINE LANE
City-State-Zip: BRANDON FL 33511
I
i
I
I
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath;that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605,Florida Statutes;and
that my name appears above,or on an allachment with all other like empowered.
SIGNATURE:JAMES MCINALLY AMBR 03/12/2018
i
Electronic Signature of Signing Authorized Person(s)Detail Date
I
Sale Verson: ASSM Customer
, � � VT a Acknowledgement
P Z 7 P. 0
,. n..H;. M E,..,
3/9/2018
Dealer Name: Date,Ordered
4/15/2018
1F7760 DONE RITE WINDOWS DOORS&MORE-
Bill To: ALL WORD SHALL COUIPL) WII1�H'PR VAIL1'NG Ci/Ir;1�V"
CODES FLORIDA BUILDIliea CoNbip TO: AT
NATIONAL ELECTRIC CODE, CITY OF ZEPHYRHIL-, 1�---
AND THE CITY OF ZEpHVRHILLS PLANS EXAMINER
ORDINANCES, --
Phone: (813) 661-9543 Fax:
Order Notes: Delivery Notes: Quote Name: Project Name:
Jeff Garren DHTrip Unassigned Project
QUOTE# ;RUSH STATUS: , _':_';:_ . PO#
1750059 No Ordered
Line Item:#:_; Qty. Width x .Height UI Description,
1 2 36"X 37.25" 74
3001-Mezzo Double Hung 36 x 37.25
Sash Split=Even
Operation/Venting=Double Hung
Steel Reinforcement,Frame Option=Standard Block
Frame
Frame Color=White
Therm D Elite TG2,Glass Breakage Warranty
ti Full Screen
CO U-Factor=0 22,CR=69,SHGC=0.19,VT=0.4,CPD=
ASO-A-89-16934-00001
{� Brickmould=No Brickmould,Frame Size
Line Item Notes:
r 36 —
Comment/Room: '
spare room.
Line Item#4'.Qty,- V1(idth,.'x'.,H,eight ,.>' UI.` ' ``'�Description�=�° :_ , ,.• .: '
2 1 25"X 37.25" 63
3001-Mezzo Double Hung 25 x 37.25
Sash Split=Even
Operation/Venting=Double Hung
Steel Reinforcement,Frame Option=Standard Block
Frame
Frame Color=White
Therm D Elite TG2,Tempered,Rain
Full Screen
m U-Factor=0.23,CR=68,SHGC=0.19,VT=0.39,CPD
=ASO-A-89-17384-00001
Brickmould=No Brickmould,Frame Size
Line Item Notes:
26
Comrrmert/Room;
bathroom
Page 1 Of 3
QUOTE'# RUSH:.. .°°;:,.' <`STATUS: '3 -'PO
1750059 No Ordered
Line Item.# t ;UV'dth =x ei ht .Q H UI Deseri tion_
Y` 9 P.
3 1 36"X 37.5" 74
3001-Mezzo Double Hung 36 x 37.5
Sash Split=Even
Operation/Venting=Double Hung
Steel Reinforcement,Frame Option=Standard Block
Frame
nn Frame Color=White
Therm D Elite TG2,Glass Breakage Warranty
Full Screen
U-Factor=0.22,CR=69,SHGC=0.19,VT=0.4,CPD=
ASO-A-89-16934-00001
Brickmould=No Brickmould,Frame Size
,x`> Line Item Notes:
36
'Comment'/Room:
kitchen
1' D ri"t'Qty g U esc p Ion -
4 2 36"X 49.5" 86
3001-Mezzo Double Hung 36 x 49.5
Sash Split=Even
Operation/Venting=Double Hung
Steel Reinforcement,Frame Option=Standard Block
Frame
Frame Color=White
Therm D Elite TG2,Glass Breakage Warranty
Full Screen
U-Factor=0.22,CR=69,SHGC=0.19,VT=0.4,CPD=
ASO-A-89-16934-00001
Brickmould=No Brickmould,Frame Size
Line Item Notes:
�- 3-5 --»
living
Line�Iterri# -Qty ;Width", x Height.`:', "UI D,escription`_
5 1 52"X 37.25" 90
3001-Mezzo Double Hung 52 x 37.25
Sash Split=Even
Operation/Venting=Double Hung
Steel Reinforcement,Frame Option=Standard Block
Frame
Frame Color=White
Therm D Elite TG2,Glass Breakage Warranty
Full Screen
U-Factor=0.22,CR=69,SHGC=0.19,VT=0.4,CPD=
4 ASO-A-89-16934-00001
1 Brickmould=No Brickmould,Frame Size
Line Item Notes:
Comment.?„Roo'hi;
master
Page 2 Of 3
QU RUSH STATUS
T - 1750059 No Ordered
Line It6m,# 'Qty-j- Width -X''Height ,` '`Ul s-c n, It I on,
6 1 36"X 37.25 74
3001-Mezzo Double Hung 36 x 37.25
Sash Split=Even a
Operation/Venting=Double Hung-
Steel Reinforcement,Frame Option=Standard Block
Frame
Frame Color=White
Therm D Elite TG2,Glass Breakage Warranty
C4
r- Full Screen
co
U-Factor=022,CR=69,SHGC=0.19,VT=0.4.CPD
ASO-A-89-16934-00001
Brickmould=No Brickmould,Frame Size
Line Item Notes:
36
master
gly W-1," ',', ght,,ei "
sc e rip !on
7 10 74
49009101
SILL EXTDR SP WH
Length: 120 IN
Line Item Notes:
None Assigned
ATTENTION TotA.Unit q0K,1 8
Please note that all weights provided are estimates and subject to change based on actual order shipment,
For Informational Purposes:All windows are viewed from the outside looking in.
NOTICE:The rating information provided on this quote is based upon the NFRC ratings at the time of quote.
Such ratings are subject to changes in the standard by the applicable regulatory agencies and will be finalized at
the time of manufacturing. All ratings printed on the NFRC label will supersede the NFRC rating set forth in the
quote. Any changes made to an order after submission may also result in changes to the NFRC rating.
Customer shall be solely responsible for determining whether the product ordered meets their jurisdiction's
requirements,
I have reviewed this order and certify that it is correct.I understand that this order is noricancellable,
nonreturnable,and nonrefundable.
By Authorized Representative
Page 3 Of 3
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: IYOI ILt`F� W1`n-dow—%
Date Received: ( D -- Z 1-8
Site: Cy
Permit Type:
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
OCT 3 1 2018
Kalvin S zer—Plans Examiner Date ontractor and/or eowner
(Required when comments are present)
2018067774
Pemrlt No. Parcel ID No 02-26-21-0180-00000-0310
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Description of Property: Parcel IdertRcatton No. 02-26.21-0180-DD00D-031 D
Street Address: 38832 HENRY DR ZEPHYRHILLS,FL 3f3,542-2656
2. General Description of improvement R-epGaC-e- g t✓Itlt Voyy;„5Ir2-e— r—or S t,2
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
JEFFREY GARREN
38B32 Henry We Zepherhills FL
Address City State
interest in Property: Owner
Name of Fee Simple Titleholder
Of different from Owner listed above)
Address City State
a. Contractor: James Patrick Mclnally
501 Pined Brandon FL
Address City State
Contractor's Telephone No,: 813-661-1885
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No.:
6, Lender:
Name
LU
Address City State z C 7 � Of
Lender's Telephone Na: LU (L U3 LU -1
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by z =) O H J ?
Section 713.13(1)(a)(7),Florida Statutes: U J O F-
- < tU
cv � OQ,
Name IX LU U !Z
0
Address City State #— W is tv, — O
Telephone Number of Designated Person: 0 Q LL
IL, c�S
a. in addition to himself,the owner designates of` 0 O a 0
to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b),Florida Statutes. 3 U U z
Telephone Number of Person or Entity Designated by Owner. LL
a }- UCiD
9. Expiration date of Notice of Commencement(the expirationconstruction
date may not be before the completion of cotruction and final payment to the ! E �0-Q Z Cl ..-f
_
contractor,but will be one year from the date of recording unless a different date is specified): Ltf CJ 2 '0
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT u- 00 >
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN LL
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO,YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE Q I- z 0 10
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT LLI U) Q J d
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, Q W
Under penalty of perjury,I declare that I have read the for i n t f comme rent and that the facts stated therein are true to the best Z 5 z _'
of my knowledge andbelief. U � 0 0- CO—
STATE OF FLOCOUNTY OF PA f'l$ ''� DAMES PA7RICK MCINALLYit
MY COMMISSION!i FF969984 f Own r.L o,or Owner's a k Arlthorrzed ����
EXPIRES March 10,2020 -
c ectar/P ner/Man r
KO/m 395ar53 FwMamlW Ts*MC"x
Signatory's TN./Office
The foregoing instrument was acknowledged before me this Z rt day of� t 2019 b ✓0—T7f+JaY
_as (type of authority,e.g.,officer,trustee,attorney in fact)for
® ® tt
(name of party on behalf of who irmstnrment was executed).
Personally Known OR Produced Identification El Notary Signatu�}�
Type of Identification Produced Name(Print) 'I 1-611 Al�y
Rept:1950781 Rec. 10.00 -
0 0-� W 7 �4�0 O 04 3/20 IT: Op00
!( 5 04/23/2018 J. R., D !y Clerk
PRULA S.O'NEIL,Ph.D.PRSCO CLERK 6 COMPTROLLEF
04/23/2018 12:31 m 1 of 1
0R BK 7�'� pG 215